Maxwell C Poling (NPI# 1871039727, PAC ID# 4789940040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871039727 |
| PAC ID by PECOS | 4789940040 |
| Professional Enrollment ID | I20171102002114 |
| Full Name | Maxwell C Poling |
| Organization Legal Name | FLORIDA CENTER FOR DERMATOLOGY PA |
| Address |
1301 Plantation Island Dr S Suite 106b St Augustine FL 32080-3110 |
| Phone Number | 9043427765 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244486017 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2 Shircliff Way, Suite 720, Jacksonville, FL 32204-4759 | 9043427765 | FLORIDA CENTER FOR DERMATOLOGY PA |
| 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3110 | 9043427765 | FLORIDA CENTER FOR DERMATOLOGY PA |
| Organization Legal Name | FLORIDA CENTER FOR DERMATOLOGY PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Anderson Waters | Physician Assistant | Florida Center for Dermatology Pa | 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3110 |
| Jonathan Kantor | Dermatology | Florida Center for Dermatology Pa | 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3110 |
| Zachary T Bouchelle | Physician Assistant | Florida Center for Dermatology Pa | 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3110 |
| Street Address |
1301 PLANTATION ISLAND DR S SUITE 106B |
| City | ST AUGUSTINE |
| State | FL |
| Zip | 32080-3110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan J Pereira | Podiatry | Anastasia Medical Group, LLC | 1301 Plantation Island Dr S, Suite 203a, Saint Augustine, FL 32080-3111 |
| Carolyn Hunter Smallwood | Qualified Speech Language Pathologist | 1301 Plantation Island Dr S, Suite 201a, St Augustine, FL 32080-3119 | |
| Kristen Anderson Waters | Physician Assistant | Florida Center for Dermatology Pa | 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3110 |
| Jawad S Farhat | Internal Medicine | Saint Augustine Hospitalists Primary Care | 1301 Plantation Island Dr S, Suite 106a, St Augustine, FL 32080-3109 |
| Barry F Dobies | Internal Medicine | 1301 Plantation Island Dr S, 104a, St Augustine, FL 32080-3109 | |
| Ana V Greenberger | Nurse Practitioner | St. Augustine Ear, Nose and Throat, L.L.C. | 1301 Plantation Island Dr S, Suite 401, St Augustine, FL 32080-3117 |
| Qixia Huang | Internal Medicine | 1301 Plantation Island Dr S, Suite 102a, St Augustine, FL 32080-3109 | |
| Scott F Corneal | Physical Medicine and Rehabilitation | 1301 Plantation Island Dr S, Suite 402a, St Augustine, FL 32080-3118 | |
| Kalpana Depasquale | Otolaryngology | St. Augustine Ear, Nose and Throat, L.L.C. | 1301 Plantation Island Dr S, Suite 401, St Augustine, FL 32080-3117 |
| Jonathan Kantor | Dermatology | Florida Center for Dermatology Pa | 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3110 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tomas Alejandro Moreno | Ophthalmology | Florida Retina Institute James A Staman Md Pa | 1100 Plantation Blvd, Suite 130, Saint Augustine, FL 32080 |
| Neil K Sanghvi | Cardiac Electrophysiology | First Coast Heart and Vascular Center,pa | 1000 Plantation Dr S, Suite 9, St Augustine, FL 32080 |
| Allen M Deprey | Chiropractic | 2180 Aia S, Suite 100, St Augustine, FL 32080 | |
| Vincent James Caracciolo | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 1000 Plantation Dr S, Suite 9, St Augustine, FL 32080 |
| Richard Greene | Optometry | 2225 A1a, Suite C2, St Augustine, FL 32080-2917 | |
| Sherri Lee Maetozo | Obstetrics/gynecology | Integrated Womens Health LLC | 1301 Plantation Island Dr S, Suite 103, St Augustine, FL 32080-3109 |
| Gwendolyn Marie Spong | Nurse Practitioner | Saint Augustine Hospitalists Primary Care | 1301 Plantation Island Dr S, Suite 106a, St Augustine, FL 32080-3109 |
| Leiane M Boudreau | Nurse Practitioner | Medical Professionals of North Florida | 1301 Plantation Island Dr S, Suite 106a, Saint Augustine, FL 32080-3109 |
| Melchor Barros | Family Medicine | 1301 Plantation Island S Dr, 102b, Saint Augustine, FL 32080-3110 | |
| Zachary T Bouchelle | Physician Assistant | Florida Center for Dermatology Pa | 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3110 |
| Find all physicians in zip 32080 | |||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ST AUGUSTINE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.